go back

Reduction of Ocular Prosthesis

Pennsylvania rates for HCPCS V2626

Reduction of ocular prosthesis

Rates data updated July 2026.

How much does Reduction of Ocular Prosthesis cost?

$200

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $148 to $240.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $741 · 10th to 90th $245 to $955Professionalmedian $200 · 10th to 90th $100 to $263
$100$200$500$1Kfacility $741professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$208.93
Typical High
$263.03
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$446.68
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$263.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$954.99
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$194.98

Where Pennsylvania sits

The same service costs 2.1 times more in Montana than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 30th of 51

$200

MT $263RI $123

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.